HomeMy WebLinkAbout37338-Z y � Town of Southold Annex 9/13/2012
A� y P.O.Box 1179
1n x 54375 Main Road
oy o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35952 Date: 9/13/2012
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: Peninsula Rd, Fishers Island,
SCTM#: 473889 See/Block/Lot: 10.-3-25.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/13/2008 pursuant to which Building Permit No. 37338 dated 6/29/2012
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
alterations and additions, including screened porch, to an existing one family dwelling as applied for.
r
The certificate is issued to Broom Jr,Harry
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37338 12/14/11
PLUMBERS CERTIFICATION DATED
A ed gnature
o�5u��� TOWN OF SOUTHOLD
&�� BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 37338 Date: 6/29/2012
Permission is hereby granted to:
Broom Jr, Harry
162 Ferry Rd
PO BOX 70
Hadlyme, CT 06439
To: ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR. REPLACES EXPIRED B.P. # 34192
At premises located at:
Peninsula Rd
SCTM # 473889
Sec/Block/Lot# 10.-3-25.4
Pursuant to application dated 6/13/2008 and approved by the Building Inspector.
To expire on 9/29/2010.
Fees:
PERMIT RENEWAL $100.00
Total: $100.00
uilding I ctor
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34192 Z Date SEPTEMBER 30, 2008
Permission is hereby granted to:
HARRY P BROOM
PO BOX 70
HADLYME, CT 06439
for
ADDITIONS AND ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at PENINSULA RD FISHERS ISLAND
County Tax Map No. 473889 Section 010 Block 0003 Lot No.
pursuant to application dated JUNE 13 , 2008 and approved by the
Building Inspector to expire on MARCH 0 .
Fee $ 200 . 00
Autho zeyo Si ture
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD.
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following.
A.. For new building or new-use:
1. Final survey of property with accurate-location of all buildings,property lines;streets,and unusual natural-or
topographic features.
2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. _Sw.orn statement from plumber certifying that the solder used-in system contains less than.2110 of 1% lead.
5. Commercial building}industrial building, multiple residences and similar buildings and installations,a certificate
of Code Compliance-from architect or engineer responsible for the building.
.6: Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and"pre-existing" land uses:
1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic
features:
2. A properly spmpleted application and consent to inspect signed-by the applicant_ If a Certificate of Occupancy is
denied',the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50-09,
Swimming pool$50.00,Accessory building$50.00,.additions.to accessory building$50.00, Businesses$50.06,
2. Certifieate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of.Occupancy-$25
4. Updated Certificate of Occupancy- $50.00
. 5. Temporary Certificate of Occupancy -Residential$15_00,Cornrnereial$15.00
Date_
New Construction: Old or Pre-existing Building: +� (check one)
Location of Property:—- �Q �� -ReVl IV-)SUj G_ ` , j r��2-S -T5 L.- - vb
House No. Street Hamlet
Dwn6r or Owners of Property:— {9-�2fZy Y7),v 01
3uiffolk County Tax Map No'1000, Section_ Block 3 Lot -2 -
�abdivision c/ Filed Map. Lot:
'etmit No. Date of Permit. Applicant:
lealth Dept.Approval: Underwriters Approval:. .
'fanning Board Approval:
request for: Temporary Certificate Final-Certificate: (check one)
'ee Submitted: $
Applican ignature
SO!/Tyo
Town Hall Annex ~� l� Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G roper.richert(-town.southold.ny.us
Southold,NY 11971-0959 --
�1y00UNTY,Nc�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Harry Broom
Address: 1948 Peninsula Rd City: Fishers Island St: NY Zip:. 6390
Building Permit#: 34+92-Section: 10 Block: 3 Lot: as —1-6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Connected Systems LLC License No: 45453-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor X Hot Tub
Addition X Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 4 Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 4 Smoke Detectors.
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 8 Twist Lock Exit Fixtures TVSS
Other Equipment: 2-paddle fans
Notes:
Inspector Signature: Date: Dec 14 2011
81-Cert Electrical Compliance Form
FIELD INSPECTION REPORT DATE I. COMMENTS
� b
FOUNDATION(IST)
------------------------------------- da /D 3 .
FOUNDATION (2ND) , NA
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0
H
ROUGH FRAMING
PLUMBING
C
INSFJLATION PER N.Y.
STATE ENERGY CODE
- � 1
rl
FINAL
ADDITIONAL COMMENTS
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TOWN OF.SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL , Board of Health /V/4
SOUTHO•LD,NY 11971 4 sets of Building Plans 3
TEL:(631)765-1802 Planning Board approval �--
FAX:(631)765-9502 " Survey
www.northforLnet/Southold/ PERMIT NO. Check ./
Septic Form --
B1.Y.S.D.E.C.
Trustees ✓'
Examined 01, 01N .20 Contact:
Approved ,20 Mail to:
Disapproved a/c
Phone:
Expiration 20
1 ns ector
Jy l�!�_____
APPLICATION FOR BUI
' JUN 1.,.,-,� Date 9! O 20
�.3' .: INSTRUCTIONS
J.
a This lip lleahbn MUSTmpletely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of(pt gs t piiit land Fee according to schedule.
Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways.
C.The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,-the Building Inspector will issue a Building Permit to the applicant.Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months.Thereafter,a new permit shall be required
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or
Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The
applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
(Sign re pli t or name,if a co 4 rpo ' )
F? i ox 7 OI,y1 CT 0 SA/
(Mailing address of applicant
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician;plumber or builder
Name of owner of premises P 13 12 f901t/I
(As on the tax roll or latest-deed)
If applicant is a-corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
i Cf y�Q :flc-�i�✓�'yi A
House Number Street Hamlet ry�• `-
County Tax Mar No. 1000 Section i/I Block 3 Lot
Subdivision Filed Map No. Lot -'
(Name) -
i
2. State existing use and occupandy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occup,icy 14 y
3. Nature of work(check which applicable):New Building Addition X Alteration
Repair Removal I Demolition Other Work
(Description)
4. Estimated Cost 7 0, 01 c7 D Fee
} (To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars --
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:Front /gyp Rear Y3P1 Depth 2
Height ,Number of Stories 2-
Dimensions of same structure with alterations or additions: Frontal Rear
Depth _3 z 'Height Number of Stories 2,
3
8. Dimensions of entire new construction:Front Rear Depth
Height -- �. Number of Stories
9. Size of lot:Front 7 -3 y'`7c 1 Rear l® 70 3 Depth l 3/. 6
I;
10.Date of Purchase /94,4'y 8 5 Name of Former Owner IW AWT"i41 t1,14,/
11.Zone or use district in which p e`mises are situated R
12.Does proposed construction violate any zoning law,ordinance or regulation?YES—NO
13.Will lot be re-graded?YES !'NO
�Will excess fill be removed from premises?YES X NO
— Er- 06*7-7 — —
14.Names of Owner of premises//P 13 P 00M Address$OK 70 HA#1,Y1#e Phone No.86O-5.26--F&3 is
Name of Architect Address Phone No
Name of ContractoW.P(3Acyarr-f{ooSOV1A r Address Phone No.
15 a.Is this property within 100 f�t of a tidal wetland or a freshwater wetland?*YES�NO
*IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES NO
*IF YES,DX.C.PERMITS MAYBE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the ow
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly a�ihorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief and that the work will be
performed in the manner set forth in the application filed therewith.
Swom to before me
► day ofAaw
�a"�
Notary Public Signature of an
James F. King, President �*OF,S�UJyO Town Hall
Jill M. Doherty,Vice-President ,`O l0 53095 Route 25
P.O. Box 1179
Peggy A. Dickerson Southold,New York 11971-0959
Dave Bergen G Q
Bob Ghosio,Jr. �� Telephone(631) 765-1892
�ly��U �� Fax(631) 765-6641
N,ry,
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 6808A
Date of Receipt of Application: October 31, 2007
Applicant: Harry P. Broom, Jr.
SCTM#: 10-3-25.4
Project Location: 1948 Peninsula Road, Fishers Island
Date of Resolution/Issuance: February 27, 2008
Date of Expiration: February 27, 2010
Reviewed by: Trustee James F. King, President
Project Description: Construct a 12.5'x11' sunroom and 6.75'x10.5' and
6.75'x6.75' flanking porches.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
site plan prepared by CME Associates Engineering & Land Surveying, PLLC, last
dated September 23, 2003, and received on October 31, 2007.
Special Conditions: None.
Inspections: Final inspection.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
0. '
James F. King, President
Board of Trustees
JFK:eac
a -3
James F. King,President QF s Oo Town Hall Annex
Bob Ghosio,Jr.,Vice-President �� l0 54375 Main RoadP.O.Box 1179
Dave Bergen Southold,New York 11971-0959
John Bredemeyer G Q
�O Telephone(631) 765-1892
Michael J.Domino 'O Fax(631) 765-6641
tM
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
#0797C. Date: September 13, 2012
THIS CERTIFIES that the construction of a 12 5'xI F sunroom, and_6.75'x10.5' and
6.75'x6.75' flanking porches.
At 1948 Peninsula Road Fishers Island, New York
Suffolk County Tax Map# 10-3-25.4
Conforms to the application,for a Trustees Permit heretofore filed in this office
Dated October 31, 2007 pursuant to which Trustees.Administrative Permit#6808A Dated
February 27, 2008 was issued and conforms to all of the requirements and
conditions of the applicable provisions of law. The project for which this certificate is
being issued is for the construction of a 12.5'xl l' sunroom and 6.75'xl0.5' and 6.75'x6.75'
flanking porches.
The certificate is issued to HARRY P. BROOM, JR. owner of the
aforesaid property.
Authorized Signature
New York State Department of Environmental Conservation
Division of Environmental Permits
SUNY@Stony Brook; 50 Circle Road; Stony Brook NY 11790-3409
Telephone (631)444-0365
Facsimile (631) 444-0360
Alexander B.Grannis
Commissioner
LETTER OF NON-JURISDICTION
June 5, 2008
Mr. Harry Broom, Jr. NYSDEC # 1-4738-03785/00001
P.O. Box 70 1948 Peninsula Road
Hadlyme,CT 06439 Fishers Island NY
SCTM# 1000-10-3-15
Dear Mr. Broom:
Based on the information you submitted and a field inspection of the subject property performed by
the New York State Department of Environmental Conservation (NYSDEC), the NYSDEC has made
the following determination.
The portion of the referenced property that is landward of the existing functional concrete bulkhead
greater than 100 feet in length and constructed prior to 8/20/77, as verified on AeroGraphics Corp.
Aerial photograph (exposure# 92-2424) dated 3/24/76, is beyond the jurisdiction of Article 25 Tidal
Wetlands.
Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6 NYCRR Part 661)
no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction,
sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional
boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary-
precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground
surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such
precautions may include maintaining adequate work area between the tidal wetland jurisdictional
boundary and your project(i.e. a 15' to 20' wide construction area) or erecting a temporary fence,
barrier, or hay,bale berm. This determination runs with the property and will remain in effect as long
as the concrete bulkhead is considered functional..
Please be further advised that this letter does not relieve you of the responsibility of obtaining any
necessary permits or approvals from other agencies.
Very truly yours,,
Laura J. Scovazzo
Deputy Regional Permit Administrator
cc: Marine Habitat Protection
file
12/13/2011 09:18 8604341538 CONNECTED SYSTEMS LL PAGE 09/10
. • �q��a�So�Tyo
sTrnm Hall Annex 41
Telephone(631)765�1802
54375 Main;Road (631176�995 2
P.O.Box 1171) erAchert 9c'owtt.soutrla
Southold,N'1C 11971-0959
BUILDING DEPARTMENT ,
TOWN OF SOUTHOLD f
Af'PLIGATION E9R ELECTRICAL INSPECTION
REQUESTED BY: Gdc�On if- Z' Ak . Date:
Company Name:
Name: ! '
License No.:
Addr+ass: �
,Phone No.: 0 q 17� '� - ,..
. - .
JOBSITE INFORMATION: (*Indicates required inforrnaVon)
*Name: Hon%- 6-o
*Address: .
*Cross Street: r'
*Phone No..
�F h
Permit No.: CL
Tax-Map District: 1000 Section: 1 Block: D Lot
_!5 _-
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
or- . /w&! v�,�lirv.J , LEss. 7 IhAl
/aG U 99. F:t-.
(Please Circle All That Apply)
*Is job ready for inspection: YE ! NO Rough In Final
*Do-you need a Temp Certificate:
. YES 1 NO
Temp Information(If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other,
."New Service: Re-connect Underground Number of Meters Change of Servioe Overhead,
Additional Information: PAYMB T DUB WITH APPLICATION
82Iequest f6r Inspection Form
�•q� TOWN OF SOUTHOLD PROPERTY RECORD CARD
-
OWNER STREET VILLAGE. DIST.. SUB. LOTI;��
FORMER OWNER N E ACR.
l S W ry-- TYPE OF BUILDING
Y10 vi / a h.a.v w Cl1' P a l -Gf Ft l -v 'e� ►s� }tom e
SEAS. VL. FARM COMM. CB. ' MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
0 LAk)lbf q a��'- Lc3L439(:�4::)-r6- Ya�-c—Vc4lael 4o E�r/-.,e�kh
?_m n Il Lhv- ' "�� — `' 13 owt }�Ca JY -3-15 IU-3•0 5
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable 1 (�
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
BULKHEAD
Total DOCK
. 'S NONE
, " ' : �: . t j, ■■■■\!�\ ■■■ \\�'
* '� .fi ' �,., � �� . . ®■■MONO■■■
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psement
�Ext. Walls 'Interior Finish
r J
ire Place
• J.r III, J , • • • -•• kooms 2nd Floor
J
Bey- za, ter, .k.. �7 , - .\ .z •.
, �` ,� � � u,^z-.•cat z z§� �_., -� �,..x..,,, .. .:u•��.�k�5-„C"
� .;s .-r a#
, � _ r '� '��., TOWN OF SOUTHOLD PROPERTTR a
OWNER STREET 1 VILLAGE DIST. SUB. LOT
�� I /i._..... s, a f * r l c r! 4
ACR. REMARKS
1 1—:?:;I
TYPE OF BLD.
PROP. CLASS
Yam,,
LAND IMP. TOTAL DATE
l CIO 2 4L rocs u,
1 o/ co�,-OL tns Z (t - St,t,* 6,'j Ap Ca
C.�J�C.y Y st ( Y rr
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL
Ap
COLOR
TRIM
M. Bldg. Foundation P C. Bath. Dinette
FULL
Extension Basement CRAWL Floors Kit.
SLAB
Extension Ext. Walls Interior Finish L.R.
Extension Fire Place - - - Heat- D.R.
Woodstove BR.
Patio
Porch Dormer Fin. B.
Deck Attic
Breezeway Rooms 1st Floor
Garage Driveway Rooms 2nd Floor
O.B.-
Pool
7 � S
w
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FOR
No
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�® nterior
- Place ®-
r
HARRY P. BROOM
P.O.BOX 70- 162 FERRY RD.
HADLYME,CF 06439
(860)526-9836
FAX (860)526-2647
LETTER OF TRANSMITTAL
Date: 6/11/08
To: TOWN OF SOUTHOLD
BUILDING DEPARTMENT - TOWN HALL
P.O. BOX 1179
53095 Main Road
SOUTHOLD, NY 11971-0959
ATT: TO WHOM IT MAY CONCERN
Re: BROOM RESIDENCE
FISHERS ISLAND, N.Y.
WE ARE SENDING YOU
X Attached _ Under seperate cover via the following items:
Shop Drawings _ Prints _ Plans _ Samples
_Specifications _ Copy of Letter _ Change Order Other
Copies Date No. Description
1 APPLICATION FOR BUILDING PERMIT
3 BUILDING PLANS
1 4/21/03 SITE SURVEY (STAMPED)
. 1 2/27/08 No.6808A COPY OF BOARD OF TOWN TRUSTEES PERMIT
1 . 6/5/08 COPY OF NYSDEC PERMIT #1-4738-03785/00001
1 9/12/03 #418 CHECK IN THE AMOUNT OF $200.00
THESE ARE SUBMITTED as checked below:
For approval _ Approved as submitted _ Resubmit_ copies for Approval
X For your use _ Approved as noted _ Submit _ copies for Distrib_
As requested _ Returned for corrections _ Return_ corrected prints
For review and comment
REMARKS:
ENCLOSED YOU WILL FIND THE DOCUMENT(S) NOTED ABOVE TO
SATISFY THE REQUIREMENTS FOR A BUILDING PERMIT.
PLEASE NOTE THAT IN A CONVERSATION WITH A SUFFOLK COUNTY DEPARTMENT OF
HEALTH REPRESENTATIVE (MICHELLE) ON 9/28/07 AT 10:46 a.m. SHE STATED
THAT A DEPARTMENT OF HEALTH PERMIT WAS NOT NEEDED AS THERE WHERE NO
ADDED BEDROOMS, BATHROOMS, AND/OR SINKS, AND THAT THE KITCHEN REMODEL
DID NOT INVOLVE CHANGING THE LOCATION OF THE SINK.
SHOULD THERE BE ANY QUESTIONS PLEASE DO NOT HESITATE TO CALL ME AT 860-
526-9836.
BEST RP. BiR01)9
HARRY
HARRY P. BROOM .
P.O.BOX 70- 162 FERRY RD.
HADLYME,CT 06439
(860)526-9836
FAX (860)526-2647
LETTER OF TRANSMITTAL
Date: 9/4/08
To: TOWN OF SOUTHOLD
BUILDING DEPARTMENT - TOWN HALL
1 r. P.O. BOX 1179
53095 Main Road
SOUTHOLD, NY 11971-0959
ATT: Damon Rallis
Re: BROOM RESIDENCE
FISHERS ISLAND, N.Y.
WE ARE SENDING YOU
X Attached _ Under seperate cover via the following items:
Shop Drawings _ Prints T Plans _ Samples
Specifications _ Copy of Letter Change Order _ Other
Copies Date No. Description
I APPLICATION FOR BUILDING PERMIT ALREADY
ON FILE
3 AS REV. pp.1-6 BUILDING PLANS
2 rev.7/24/08 SITE SURVEY (STAMPED)
1 2/27/08 No.6808A COPY OF BOARD OF TOWN TRUSTEES PERMIT
PRESENTLY ON FILE
1 6/5/08 COPY OF NYSDEC PERMIT #1-4738-03785/00001
PRESENTLY ON FILE
1 9/12/03 #418 CHECK PRESENTLY ON FILE
THESE ARE SUBMITTED as checked below:
For approval _ Approved as submitted _ Resubmit_ copies for Approval
X For your use _ Approved as noted _ Submit — copies for Distrib.
_ As requested _ Returned for corrections _ Return. corrected prints
For review and comment
REklARKS: DAMON,
ENCLOSED YOU WILL FIND THE DOCUMENT(S) AS NOTED ABOVE TO
SATISFY THE REQUIREMENTS FOR A BUILDING PERMIT. YOU SHOULD, AS NOTED,
HAVE SOME OF THESE ALREADY ON FILE.
I BELIEVE THE MAIN ISSUE WAS THE SETBACK AND I BELIEVE THAT THE
ENCLOSED SITE PLAN ADDRESSES THAT ISSUE.
SHOULD THERE BE ANY QUESTIONS PLEASE DO NOT HESITATE TO CALL ME AT 860-
526-9836.
BEST GARDS
HARRY P. BR M
HARRY P. BROOM
P.O.BOX 70- 162 FERRY RD.
HADLYME,CT 06439
(860)526-9836
FAX (860)526-2647
LETTER OF TRANSMITTAL
Date: 9/24/08
To: TOWN OF SOUTHOLD
BUILDING DEPARTMENT - TOWN HALL
P.O. BOX 1179
53095 Main Road
SOUTHOLD, NY 11971-0959
ATT: Damon Rallis
Re: BROOM RESIDENCE
FISHERS ISLAND, N.Y.
WE ARE SENDING YOU
X Attached J Under seperate cover via the following items:
Shop Drawings _ Prints _ Plans — Samples
_Specifications _ Copy of Letter _ Change Order _ Other
Copies Date No. Description
3 AS REV. pp.1-6 BUILDING PLANS - STAMPED
THESE ARE SUBMITTED as checked below:
For approval _ Approved as Submitted _ Resubmit_ copies for Approval
X For your use _ Approved as noted _ Submit _ copies for Distrib.
_ As requested _ Returned for corrections _ Return- corrected prints
For review and comment
REMAPM DAMON,
AS PER OUR CONVERSATION HERE ARE 3 STAMPED SETS OF PLANS. I
HOPE THAT THIS COMPLETES THE FILE.
PLEASE LET ME KNOW IF THERE ARE ANY QUESTIONS. YOU CAN CALL ME AT 860-
526-9836.
BEST REGARDS� � -
HARRY P. BROOM
APR 3 0. NIV2
April 26, 2012
Gary Fish
Building Inspector
Town of Southold Building Department
Town Hall
53095 Main Road
PO box 1179
Southold, NY, 11971
Dear Mr. Fish
Enclosed please find the as built drawings of Permit#34192, located at 1948 Peninsula Road,
Fishers Island.The enclosed sheets show the modifications to the original permit set as noted
during the final inspection.
If you have any questions call me at(917) 747—1904
Sincerely,
Bruce Kinlin, AIA
.,tttiliil-;t3[i1w•.':'Cla{� ..@3L'�1f�; i�t
E�I:VV 'i(}f`i:, ;AI', f(i�l� 1��(nice'.Ill�Ei'lii:� 11:'!'iZ1CCi.CCir(t
O��OF SO(/r�ol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
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BUILDING DEPARTMENT _ 2 2012
TOWN OF SOUTHOLD AUG
July 24, 2012 BLDG.DEPT.
TOWN OF SOUEOLD
Harry Broom, Jr
PO Box 70 _
Hadlyme CT 06439
Re: Peninsula Rd, FI- SCTM #10.-3-25.4
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
"Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
0-Trusteesifi
Certificate of Compliance. (Town Trustees#76.5-1892)
Final Planning Board Approval. (Planning #765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 37336—Addition/Alterations
o��pF SOUryol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179ell N
Southold,NY 11971-0959 �- �Q
CDUffm�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 2, 2012
Harry Broom Jr
PO Box 70
Hadlyme CT 06439
Re: Peninsula Rd., FI SCTM#10.-3-25.4
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electric
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
- I rustees Certificate of Compliance. (Town Trustees#.765-1892) (STILL NEED)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 37338 —Addtion/Alterations
Marvin Windows&Doors, MDS Version 17.0„ MDS RB Tabs Version 17.0, MDS RB Code Version 17.0
` 11
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Scale: 1"= 1'-0"
R.O.: 37 5/8"x,80"
M.O.: 37 1/8"x 79 3/4"
Project Name: H.P. Broom-Fishers Island
mds2performance
Marvin windows & Doors, MDs version 17.0, Build 1089, 9/4/2008
MDS RB Tabs version 17.0 Build 897
MDs RB Code Version 17.0 Build 1051
Product Performance Report Unit 1
---------------------------------------------------------
Unit' Name: 02
Call Number: CUIFD3066 X R
Frame size: 36 5/8" x '36 5/8"
subtype: No subtype
Glazing Type: Uncoated - Standard
Glazing Thickness: 3/4" Insulating
Glazing Color: Clear
operation: X - 1 Panel Right Oper.
---------------------------------------------------------
Daylight opening: 10.95 Sq Ft
ventilation: 16.41 Sq Ft
Egress Net Clear opening: 16.41 Sq Ft
Egress width: 31.19 In
Egress Height: 75.72 In
Energy Efficiency U value: 0.45
Energy Efficiency R value: 2.22
Solar Heat Gain Coefficient: 0.38
visible Light Transmittance: 0.39
Energy Star: S
Design Pressure: DP40
For STC values click Product Info. To verify critical
performance values contact Marvin Technical support.
0
Page 1
Marvin Windows&Doors, MDS Version 17.0„ MDS RB Tabs Version 17.0,MDS RB Code Version 17.0
01
Scale: 1"= 1'-0"
R.O.:36 3/8"x 80 7/8"
M.O.:35 7/8"x 80 5/8"
Project Name: H.P. Broom-Fishers Island
mds3performance
Marvin windows & Doors, MDS version 17.0, Build 1089, 9/4/2008
MDS RB Tabs version 17.0 Build 897
MDS RB Code version 17.0 Build 1051
Product Performance Report unit 1
Progct Name: H.P. Broom - Fishers Island
Architect Name:
---------------------------------------------------------
unit Name: 01
Call Number: CUDH3036
Frame size: 35 3/8" X 35 3/8"
Subtype: No Subtype
Glazing Type: uncoated - standard
Glazing Thickness: 11/16" Insulating
Glazing Color: Clear
Operation: Double Hung
---------------------------------------------------------
Daylight opening: 14.03 Sq Ft
ventilation: 7.64 Sq Ft
Egress Net Clear opening: - 7.66 Sq Ft
Egress width: 32.08 In
Egress Height: 34.34 In
Energy Efficiency u value: 0.49
Energy Efficiency R Value: 2.04
solar Heat Gain Coefficient: 0.49
visible Light Transmittance: 0.51
Energy Star: -
Design Pressure: DP40
For STC values click Product Info. To verify critical
performance values contact Marvin Technical support.
o
Page 1
Marvin Windows&Doors, MDS Version 17.0„ MDS RB Tabs Version 17.0, MDS RB Code Version 17.0
02
Scale: 1"= 1'-0"
R.O.:36 3/8"x 20 3/16"
M.O.:35 7/8"x 19 15/16"
Project Name: H.P. Broom-Fishers Island
1 •
mds4performance
Marvin windows & Doors, MDS Version 17.0, Build 1089, 9/4/2008
MDS RB Tabs Version 17.0 Build 897
MDS RB code Version 17.0 Build 1051
Product Performance Report Unit 1
Prooct Name: H. P. Broom - Fishers Island
Architect Name:
---------------------------------------------------------
Unit Name: 02
Call Number: CUDHTR3012
Frame size: 35 3/8" X 35 3/8"
subtype: No subtype
Glazing Type: uncoated - standard
Glazing Thickness: 11/16" Insulating
Glazing Color: Clear
Operation: Picture
---------------------------------------------------------
Daylight opening: 2.59 Sq Ft
Energy Efficiency U Value: 0.47
Energy Efficiency R Value: 2.13
Solar Heat Gain Coefficient: 0.54
Visible Light Transmittance: 0.56
Energy star: -
Design Pressure: DP40
For STC values click Product Info. To verify critical
Pperformance values contact Marvin Technical support.
Page 1
r
Marvin Windows&Doors, MDS Version 17.0„ MDS RB Tabs Version 17.0, MDS RB Code Version 17.0
-77
03
Scale: 1"= 1'-0"
R.O.: 36 3/8"x 100 9/16"
M.O.: 35 7/8"x 100 5/16"
Project Name: H.P. Broom-Fishers Island
UNDERWRITERS CERTIFICATE
REQUIRED r_
P``GpNs DIRE�E�� .�P-�E. COMPLY WITH ALL CODES OF
M�R,�.INE o�NS�NypFKs NEW YORK STAI E & TOWN CODES
GppAS AS REQUIRED AND CONDITIONS OF
APPR VED AS NOTED SOUTHOLD TOWN ZBA -
�j G SOUTHOLD TOWN PLANNING BOARD
DAT 'S B.P.#
SOUTHOLD TOWN TRUSTEES
FEE;
NOTI BUILDING DEPARTMENT AT N.Y.S.DEC
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: OCCUPANCY OR
1, FOUNDATION TWO REQUIRED
FOR POURED CONCRETE USE IS UNLAWFUL `
2, ROUGH - FRAMING & PLUMBING
3. INSULATION _ WITHOUT CERTIFICATE
4. FINAL - CONST RUCTION MUST — F' ; ,,
JBI` COMPLETE FOR C_O. OF OCCUPANCY �, t
AILL aMTRUCTi EON sHALL MEET THE s � s i
Rai j R�dl2 fS OF THE DES OF f�lEF�fII I 11 t 1 � 1�
YtQj ' S1FA\TF NoT REsmS@BLE FOR
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CERTIFICATION OF
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WINDOW / DOOR SCHEDULE H.P. Broom as of9/3/08
# TYPE MFR SIZE/CALL# OPER. LITE ROUGH OPG. HEAD JAM HEA SILL MULL EXT. INT. REMARKS
CUT DIMENSIONS A.F.F. B D DTL. DTL. FIN. FIN.
DTL. DTL.
5 dblhung Marvin CUDH3036 4ovr4 3'-0 3/8"x 6'-8 7/8"
5 Itrans IMarvin CUDHT3012 3'-0 3/8"x 1'-8 3/16"
1 FrDr Marvin CUIFD3065 right hand 6 lite 3'-0 15/16"x 6'-71/4"
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CODE ANALYSIS Residence: H. P.Broom,Fishers Island BROOM RESIDENCE - REScheck
Compliance Options for Additions
[] All new work must comply with the official compilation of codes, rules and regulations of the 2002 Residential Additions less than 500 SgFt on conditioned floor area may meet the perscriptive
Code of the State of New York.
envelope requirements in Table 1. To Use this table,the total area of windows, doors,
[] Other regulations may apply. and skylights cannot exceed 40% of the gross wall and roof area of the addition.
[] Design criteria based on Minimum Design Loads for Building and Other Structures ASCE 7.(Section R
301.2.1.1) Total Gross Wall and Ceilinq Area:
Ceiling: 12.5 X 10.5 = 131.3 AROh�
[] Seismic provisions not applicable:dwelling is located in seismic design category B(Section R 301.2.2) Walls: 9 X [10.5 + 10.5+ 12.5] = 301.5 �(Cc
432.8 SgFt 2
[]All glass doors and windows are tempered meeting safety requirements at hazardous locations(Section R
317.1)
40% of 432.8 SgFt= 173.1 SgFt
[]All glass exterior doors and windows meet safety requirements for wind blown debris protection in hurricane
prone regions by use of VuSafe storm protection panels. See attached. (Section R 613.4) F OF NO
y
Areas of Windows and Doors:
[]Provide smoke alarms per NFPA 72(Section R 317.1) Windows: 5 X 2.5 X 7.75 = 96.9
Door. 3 X 6.8 = 20.4
[] Wall and ceiling finishes shall have aflame spread classification of not greater than 200(Section R 319.1) 117.3 SgFt = less than 40%
[] Insulation shall have a flame spread index not to exceed 25 with accompanying smoke developed index not to
exceed 450 in accordance with ASTMS 84 (Section R 322.1)
See attached photocopy of Marvin product catalog showing Energy Data for Marvin Wood Ultimate Double
Moisture control in all framed walls,floors,and roof/ceilings a vapor retarder shall be installed on the warm in Hung and the Marvin Outswing French Door.
winter side of insulation.(Section R 322.1) Since each of the U values is less than .4 the area-weighted average U value would be less than .4.
[] Provide pressure preservative treated wood in accordance with AWPA in area subject to decay(Section R
323.1)
First Floor area of house 745 SF
Area of Porches(existing) 161 SF
Area of Existing Porch to be Renovated 161 SF WOOD Ot1TSVNNG FRENCH DOOR :Nf00D ULTIMATE DOUBLE HUNG
Area of Int.Existing space to be Renovated 0 SF
,rW � z�w4 n t ENERGI(DATA
Area of Additional Living Space 131 SF ENERGY�T�.t1Q3%6
�i :n� x ;� rt�i>a?x� r � `; na rim xis:�� �°•�-na �, a sm'
Area of Additional Porches 116 SF Gtazr - 122 - 052 OW 0!2 G51 Single Gaze 090 Q94 t11 tns a58 a60 ass Q64
Si*Glazew/EP - - 047 Q43 W 045 Single Glaze withEP Q46 046 217 217 O.T 052 0.54 057
SingleGlace w/Low E EP - 278 - 040 038 Q43 Q42 SC Single Glaze with Low E II EP Q36 036 2.78 278 Q44 0.45 Q49 Q53
GVear-Air - 213 - Q47 Q43 047 Q45 Insulating Glass 048 Q49 2.08 2.04 052 0.52 0.54 Q57
Suffolk County Tax Map 1000, Section 010, Blk 3, Lot 15 &UwEll-Au 2.78 - Q26 026 W Q40 Sc InsulatingLowEllGlass 036 0.35 2.78 226 0.28 030 0.47 0 Sc
riA uw E II Argon o34 - - M M Q41 Q40 NCS Insulating Low E I I Glass/Argon 033 0.31 303 323 0.28 Q30 Q47 Q50 NCS
Zone-R 40 Area:22,091 =/-S.F. Thermal and solar values are subject to update.Values are mierated in accor- Theme and solar values are subject to update.Values are generated in accordance with
dance with NFRC 1DO-97 and other applicable N FRC procedures.Argon gas"s N FRC 100-97 and otiter applicable NFRC procedures.Argon gas is not available for the
not available for 0te attitudes that require capillary tubes.SHGC=Solar Heat Gain affdudes that require capillary tubes.SHGcddar Heat Gain Coefficient.vT=Uisble LW
coefficient.VT=vsible Ugttt Tarsmatarm Energy Star codes:N=Nathem, Trarsn dtarm Energy Star codes:N=NaOwm,Cam,S-Sarthern.
C--Central,S=southern.
BROOM RESIDENCE- Fishers Island
TABLE R301.2(1)
CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA BROOM RESIDENCE,
WIND SUBJECT TO DAMAGE FROM Ice Shield
GROUND SEISMIC Winter underlay- 1948 Peninsula Road, Fishers Island, NY 06390
SNOW DESIGN Frost line Design ment Flood
LOAD Speed(mph) CATEGORY Weathering depth Termite Decay temp required Hazards TITLE: Code Analysis, Geo ra his Design Criteria & REScheck
Moderate to Slight to
45 120 B Severe 36" Heavy moderate 11 B Yes N/a 1
2] 5] 8] Drawing
3] 6] 9] Number
WINDOW/EXTERIOR DOOR - SCHEDULE - REVISED - 8/25/09 ~
# SIZE/CALL# MFR TYPE OPER. LITE CUT ROUGH OPG. HEAD EXT INT. REMARKS
DIMENSIONS- A.S.F. FIN.
Note-Height FIN.
Dimension includes
1/4"for Marvin Sill
Guard
Qty5 CUDH 3036 Marvin Double Hun Yes 2w2h/2w2h T'0 3/8"x 6'-9 1/8" Clad Pain Bottom sash temperer
Qty 5 CUDHT 30/CUSTOM Marvin DH Transom Fixed 2w2h T-0 3/8"x 2'-0 7/16" jCladjPaint
Qty 2 CUDHT 1616 Marvin Double Hun Yes 2w2h/2w2h 1'-10 3/8"x 3'-5 1/8" Clad Paint
Qty 1 CUIFDR 3668 XR Marvin Single French Right 2w3h 3'-8 7/16"x 6-10 3/4" 6-10 3/4" Clad Paint
Door Hand
Q 2 CUDHT 1616 Marvin Double Hun Yes 2w2h/2w2h 1'-10 3/8"x 3'-5 1/8" Clad Paint
Single Hung Bottom sash to align
Qty 2 CUSHRT 16/CUSTOM Marvin Round top Yes 2w2h/2w2h 2'-6 3/8"x 5'-1 13/16" Clad Pairil with bottom sash of
CUDH1616
Qty 2 CAWN 3224 Marvin Awning Yes 2w2h 2'-9"x 1'-10 7/8" Clad Pain Remote controlled
motorized operator
Qty 2 CAWN 3224 Marvin Stationary Fixed 2w2h 2'-9"x 1'-10 7/8" Clad Paint
Awning
y`•. Qt 3 CUDHT CUSTOM/16 Marvin Double Hung Yes 2w2h/2w2h 2'-4 3/8"x 3'-5 1/8" Clad Paint
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# SIZE/CALL# MFR TYPE OPER. LITE CUT ROUGH OPG. HEAD EXT INT. REMARKS
DIMENSIONS- A.S.F. FIN.
Note-Height FIN.
Dimension includes
1/4"for Marvin Sill
Guard
Q 5 CUDH 3036 Marvin Double Hun Yes 2w2h/2w2h T-0 3/8"x 6'-9 1/8" Clad Pain Bottom sash temperec
Qt 5 CUDHT 30/CUSTOM Marvin DH Transom Fixed 2w2h T-0 3/8"x 2'-0 7/16" Clad Paint
Q 2 CUDHT 1616 Marvin Double Hun Yes 2w2h/2w2h 1'-10 3/8"x 3'-5 1/8" Clad Paint
Qty 1 CUIFDR 3668 XR Marvin Single French Right
Door Hand 2w3h T-8 7/16"x 6'-10 3/4" 6'-10 3/4" Clad Paint
Qty 2 CUDHT 1616 Marvin Double Hun Yes 2w2h/2w2h 1'-10 3/8"x T-5 1/8" Clad Paint
Single Hung Bottom sash to align
Qty 2 CUSHRT 16/CUSTOM Marvin Round top Yes 2w2h/2w2h 2'-6 3/8"x 5'-1 13/16" Clad Pain with bottom sash of
CUDH1616
Qty 2 CAWN 3224 Marvin Awning Yes 2w2h 2'-9"x 1'-10 7/8" Clad PaintRemote controlled
motorized operator
Qty 2 CAWN 3224 Marvin Stationary Fixed 2w2h 2'-9"x 1'-10 7/8" Clad Paint
Awnin
I Qt 3 JCUDHT CUSTOM/16 Marvin Double Hung Yes 2w2h/2w2h 2'4 3/8"x 3'-5 1/8" 01adPaint
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# SIZE/CALL# MFR TYPE OPER. LITE CUT ROUGH OPG. HEAD EXT INT. REMARKS
DIMENSIONS- A.S.F. FIN.
Note-Height FIN.
Dimension includes
1/4"for Marvin Sill
Guard
Qty 5 CUDH 3036 =Double
Yes 2w2h/2w2h T'o 3/8"x 6'-9 1/8" Clad Pain Bottom sash temperec
Qty5 CUDHT 30/CUSTOM Fixed 2w2h Y-0 3/8"x 2'-0 7/16" M3/4"Clad
Paint
Q 2 CUDHT 1616 Yes 2w2h/2w2h 1'-10 3/8"x 3'-5 1/8" Paint
Qty 1 CUIFDR 3668 XR Marvin Single French Right
Door Hand 2w3h T-8 7/16"x 6'-10 3/4" 6'-10Paint
Qty 2 CUDHT 1616 Marvin Double Hun Yes 2w2h/2w2h 1-10 3/8"x T-5 1/8" Clad Paint
Single Hung Bottom sash to align
Qty 2 CUSHRT 16/CUSTOM Marvin Round top Yes 2w2h/2w2h 2'-6 3/8"x 5'-1 13/16" Clad Paini with bottom sash of
k CUDH1616
i
Qty 2 CAWN 3224 Marvin Awning Yes 2w2h 2'-9"x 1'-10 7/8" Clad Pain Remote controlled
motorized operator
Qty 2 CAWN 3224 Stationary
} Marvin Awning Fixed 2w2h 2'-9"x 1'-10 7/8" Clad Paint
Qt 3 CUDHT CUSTOM/16 Marvin Double Hung Yes 2Oh/2w2h 2'-4 3/8"x 3'-5 1/8" Clad Paint
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